snapshot of cardiac rehabilitation services in nsw ... · background there is a paucity of data for...
TRANSCRIPT
![Page 1: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/1.jpg)
Snapshot of cardiac rehabilitation
services in NSW: Results of a pilot
study using a minimum dataset.
NSW Cardiac Rehabilitation Data Sub Working Group
(NSW Cardiac Rehabilitation Working Group)
![Page 2: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/2.jpg)
Robert Zecchin (1*), Cate Ferry (2), Dawn McIvor (3, 5), Kerry Wilcox (4),
Jane Kerr (5), Sasha Bennett (6), Sheryl Bowen (7), Bridie Carr (8),
Robyn Gallagher (3, 9).
1. Western Sydney Local Health District (LHD)
2. Heart Foundation (HF) NSW Division
3. Cardiovascular Health and Rehabilitation Association (CRA) NSW & ACT
4. Northern NSW LHD
5. Hunter New England LHD
6. Therapeutic Advisory Group (TAG) NSW
7. Mid-North Coast LHD
8. Agency for Clinical Innovation (ACI) NSW
9. University of Sydney
NSW CR Data Sub Working Group
![Page 3: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/3.jpg)
Background
There is a paucity of data for CR services and associated outcomes
across Australia, and in particular NSW.
NSW CR services were required to provide monthly reports to the NSW
Ministry of Health (MoH), but otherwise provided very limited information.
![Page 4: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/4.jpg)
Background NHF - develop national key performance indicators for secondary prevention
services and implement systems to collect standardised outcome. Secondary prevention of cardiovascular disease: A call to action to improve the health of Australians (2010).
NHF - establishing uniform quality performance measures, data collection and
routine reporting. The Heart Foundation’s Cardiac Rehabilitation Advocacy Strategy - Improving the delivery of cardiac
rehabilitation in Australia (2014).
ACRA - Core Component 5: All CR services must collect a minimum set of data
and report on key performance indicators to ensure and promote continuous
quality improvement of services and benchmarking Stephen Woodruffe et al. Core Components of Cardiovascular Disease Secondary Prevention and Cardiac
Rehabilitation 2014. Heart, Lung and Circulation (2015).
![Page 5: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/5.jpg)
The quality of cardiac rehabilitation in Canada:
a report of the Canadian Cardiac Rehab Registry.
Grace SL et al Can J Cardiol. 2014 Nov;30(11):1452-5.
Results: There were 5447 patient records from 11 CR programs in
the CCRR. Wait times exceeded the 30-day QI target, at a median
of 84 days from referral to enrolment. Assessment of QIs of blood
pressure (90%) and adiposity (85%) were high, however
assessment of QIs for lipids (41%), blood glucose among patients
with diabetes (23%), and depression overall (13%) were low. A
majority of the participants (68%) achieved the half metabolic
equivalent increase in the exercise capacity QI from CR program
entry to exit. Of smokers, only 61% were offered smoking
cessation therapy. Thirty percent of participants were offered
stress management. The CR program completion QI was met in
90% of patients.
![Page 6: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/6.jpg)
Does the timing of cardiac rehabilitation impact
fitness outcomes? An observational analysis.
Fell J, Dale V, Doherty P. Open Heart 2016;3:e000369.
Results: This was particularly pronounced in the medically managed
post-MI group, median wait time 40 days. Furthermore, statistical
analysis revealed that delayed CR significantly impacts fitness
outcomes. For every 1-day increase in CR wait time, patients were
1% less likely to improve across all fitness-related measures (p<0.05).
Conclusions: With the potential for suboptimal patient outcome if
starting CR is delayed, efforts should be made to identify and
overcome barriers to timely CR provision.
![Page 7: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/7.jpg)
European Journal of Preventative Cardiology 2017 (in press)
![Page 8: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/8.jpg)
European Journal of Preventative Cardiology 2017 (in press)
![Page 9: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/9.jpg)
Methodology
NHF surveyed current CRMDS practices in NSW in May 2014.
CRMDS Working Group was established by HF NSW, CRA NSW/ACT and
ACI and used a process of review, deliberation, and consensus to formulate
a minimum dataset and a supporting data dictionary.
![Page 10: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/10.jpg)
A proposed dataset for CR in NSW
should:
Start with a small number of indicators
Ensure an evidence-base linkage between data collection and
outcomes
Use standard definitions/develop a data dictionary
Link data items with the following Acute Coronary Syndromes
Clinical Care Standard and National Safety and Quality Standards to
ensure/facilitate uptake.
Able to compare between datasets – both national and
internationally
![Page 11: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/11.jpg)
Methodology
A minimum dataset (MDS) of 11 quality indicators for CR services in
NSW, was developed by this expert working group and piloted to
assess rigour and functionality.
The MDS and standardized electronic data sheet were piloted at 16
CR sites for 3 months (1st March – 30th May) in 2016 in NSW.
![Page 12: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/12.jpg)
Aim
To describe the results and the lessons learnt from the pilot MDS.
![Page 13: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/13.jpg)
Study Results
Sites (n =) 16
Total number of patients: 983
Mean Age (years) + SD 65 + 12
Gender 72% male
CALD/NESB 21%
Aboriginal/Torres Strait Islander 2.2%
![Page 14: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/14.jpg)
Program Characteristics
Characteristic %
Program type
Comprehensive cardiac rehabilitation 77
Telephone based (2 or more calls) 14
Telephone based (1-2 calls) 2
Education session only 5
Home based (assessment and outcome ) 2
Program base
Tertiary referral hospital 60
![Page 15: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/15.jpg)
Principal/referral diagnosis %
Cardiac surgery 26
ACS NSTEMI 18
ACS STEMI 18
ACS (without infarction) 14
Elective PCI 8
CCF/cardiomyopathy 6
Arrhythmia +/- ICD/PPM 5
Interventions/complications 60
Elective/Staged PCI 21
1oPCI for STEMI 16
Cardiac surgery 11
Cardiogenic shock/CCF 6
Arrhythmia 7
ICD/PPM 3
Quality Indicator 1
![Page 16: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/16.jpg)
Principal/referral diagnosis %
Cardiac surgery 26
ACS NSTEMI 18
ACS STEMI 18
ACS (without infarction) 14
Elective PCI 8
CCF/cardiomyopathy 6
Arrhythmia +/- ICD/PPM 5
Interventions/complications 60
Elective/Staged PCI 21
1oPCI for STEMI 16
Cardiac surgery 11
Cardiogenic shock/CCF 6
Arrhythmia 7
ICD/PPM 3
Quality Indicator 1
![Page 17: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/17.jpg)
Principal/referral diagnosis %
Cardiac surgery 26
ACS NSTEMI 18
ACS STEMI 18
ACS (without infarction) 14
Elective PCI 8
CCF/cardiomyopathy 6
Arrhythmia +/- ICD/PPM 5
Interventions/complications 60
Elective/Staged PCI 21
1oPCI for STEMI 16
Cardiac surgery 11
Cardiogenic shock/CCF 6
Arrhythmia 7
ICD/PPM 3
Quality Indicator 1
![Page 18: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/18.jpg)
Quality Indicator 2CR Wait Times
Indicator 2
Mean + SD (days) 21+19
Median (days) 17
Mean
Wait
Tim
e (
days)
![Page 19: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/19.jpg)
Quality Indicator 3 & 5Changes in waist circumference and functional capacity
Indicator 3 & 5
Entry Discharge Change
(95%CI)
p-value
Mean SD Mean SD
Waist
circumference
(n = 486; cm)
101.35 14.15 100.37 13.71 -0.98
(-0.62, -1.35)
<0.001
6MWT#
(n = 350; metres)
415.38 103.83 470.13 110.24 54.75
(48.8, 60.7)
<0.001
METS^
(n = 113)
7.04 3.22 9.60 3.50 2.55
(2.2, 2.90)
<0.001
p-value for paired t-test
# 6MWT six-minute walk test, ^METS metabolic equivalents
![Page 20: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/20.jpg)
Quality Indicator 3 & 5Changes in waist circumference and functional capacity
Indicator 3 & 5
Entry Discharge Change
(95%CI)
p-value
Mean SD Mean SD
Waist
circumference
(n = 486; cm)
101.35 14.15 100.37 13.71 -0.98
(-0.62, -1.35)
<0.001
6MWT#
(n = 350; metres)
415.38 103.83 470.13 110.24 54.75
(48.8, 60.7)
<0.001
METS^
(n = 113)
7.04 3.22 9.60 3.50 2.55
(2.2, 2.90)
<0.001
p-value for paired t-test
# 6MWT six-minute walk test, ^METS metabolic equivalents
![Page 21: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/21.jpg)
Quality Indicator 3 & 5Changes in waist circumference and functional capacity
Indicator 3 & 5
Entry Discharge Change
(95%CI)
p-value
Mean SD Mean SD
Waist
circumference
(n = 486; cm)
101.35 14.15 100.37 13.71 -0.98
(-0.62, -1.35)
<0.001
6MWT#
(n = 350; metres)
415.38 103.83 470.13 110.24 54.75
(48.8, 60.7)
<0.001
METS^
(n = 113)
7.04 3.22 9.60 3.50 2.55
(2.2, 2.90)
<0.001
p-value for paired t-test
# 6MWT six-minute walk test, ^METS metabolic equivalents
![Page 22: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/22.jpg)
Quality Indicator 3 & 5Changes in waist circumference and functional capacity
Indicator 3 & 5
Entry Discharge Change
(95%CI)
p-value
Mean SD Mean SD
Waist
circumference
(n = 486; cm)
101.35 14.15 100.37 13.71 -0.98
(-0.62, -1.35)
<0.001
6MWT#
(n = 350; metres)
415.38 103.83 470.13 110.24 54.75
(48.8, 60.7)
<0.001
METS^
(n = 113)
7.04 3.22 9.60 3.50 2.55
(2.2, 2.90)
<0.001
p-value for paired t-test
# 6MWT six-minute walk test, ^METS metabolic equivalents
![Page 23: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/23.jpg)
Quality Indicator 3 & 5Changes in waist circumference and functional capacity
Indicator 3 & 5
Entry Discharge Change
(95%CI)
p-value
Mean SD Mean SD
Waist
circumference
(n = 486; cm)
101.35 14.15 100.37 13.71 -0.98
(-0.62, -1.35)
<0.001
6MWT#
(n = 350; metres)
415.38 103.83 470.13 110.24 54.75
(48.8, 60.7)
<0.001
METS^
(n = 113)
7.04 3.22 9.60 3.50 2.55
(2.2, 2.90)
<0.001
p-value for paired t-test
# 6MWT six-minute walk test, ^METS metabolic equivalents
![Page 24: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/24.jpg)
Quality Indicator 4Assessment of evidence-based ACS and/or CCF medication pre CR and post CR
Indicator 4 Entry Change at post CR
p-value
Antiplatelet (oral) 95% NS
Betablocker 78% NS
ACE-I/ARB+ 66% NS
Lipid lowering 93% NS
S/L nitrates 46% <0.001
(increased usage)
+ ACE-I/ARB angiotensin converting enzyme inhibitor and angiotensin receptor blocker medications
![Page 25: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/25.jpg)
Quality Indicators 6, 7 & 8Indicator 6 & 7 %
Depression screened at:
Entry 87
Discharge 77
Positive Screen 26
Referral for positive screen: %
Referred 21
Receiving treatment 19
Refused 9
Not referred 51
Indicator 8 %
Current smoker 9
Referral for smoking cessation:
Referred 83
Refused 13
Not referred 4
![Page 26: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/26.jpg)
Quality Indicators 6, 7 & 8Indicator 6 & 7 %
Depression screened at:
Entry 87
Discharge 77
Positive Screen 26
Referral for positive screen: %
Referred 21
Receiving treatment 19
Refused 9
Not referred 51
Indicator 8 %
Current smoker 9
Referral for smoking cessation:
Referred 83
Refused 13
Not referred 4
![Page 27: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/27.jpg)
Quality Indicators 6, 7 & 8Indicator 6 & 7 %
Depression screened at:
Entry 87
Discharge 77
Positive Screen 26
Referral for positive screen: %
Referred 21
Receiving treatment 19
Refused 9
Not referred 51
Indicator 8 %
Current smoker 9
Referral for smoking cessation:
Referred 83
Refused 13
Not referred 4
![Page 28: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/28.jpg)
Quality Indicators 6, 7 & 8Indicator 6 & 7 %
Depression screened at:
Entry 87
Discharge 77
Positive Screen 26
Referral for positive screen: %
Referred 21
Receiving treatment 19
Refused 9
Not referred 51
Indicator 8 %
Current smoker 9
Referral for smoking cessation:
Referred 83
Refused 13
Not referred 4
![Page 29: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/29.jpg)
Quality Indicators 6, 7 & 8Indicator 6 & 7 %
Depression screened at:
Entry 87
Discharge 77
Positive Screen 26
Referral for positive screen: %
Referred 21
Receiving treatment 19
Refused 9
Not referred 51
Indicator 8 %
Current smoker 9
Referral for smoking cessation:
Referred 83
Refused 13
Not referred 4
![Page 30: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/30.jpg)
Quality Indicator 9
Indicator 9 %
Symptom management plan 77
Definition: The percentage of patients in the CR program who received
symptom-management education either individually or within a group
prior to program discharge.
![Page 31: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/31.jpg)
Quality Indicator 9
Indicator 9 %
Symptom management plan 77
Definition: The percentage of patients in the CR program who received
symptom-management education either individually or within a group
prior to program discharge.
![Page 32: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/32.jpg)
Quality Indicator 10 & 11CR program completion + ongoing care.
Indicator 10 & 11 %
Completion 66
Not completed 28
Not applicable 3
Unknown 3
Ongoing care %
At least one referral 79
GP 79
Specialist 76
CR follow-up 36
CR Phase III 16
Walking group 8
Private gym 8
Health coaching 8
Other 13
![Page 33: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/33.jpg)
Quality Indicator 10 & 11CR program completion + ongoing care care.
Indicator 10 & 11 %
Completion 66
Not completed 28
Not applicable 3
Unknown 3
Ongoing care %
At least one referral 79
GP 79
Specialist 76
CR follow-up 36
CR Phase III 16
Walking group 8
Private gym 8
Health coaching 8
Other 13
![Page 34: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/34.jpg)
Quality Indicator 10 & 11CR program completion + ongoing care care.
Indicator 10 & 11 %
Completion 66
Not completed 28
Not applicable 3
Unknown 3
Ongoing care %
At least one referral 79
GP 79
Specialist 76
CR follow-up 36
CR Phase III 16
Walking group 8
Private gym 8
Health coaching 8
Other 13
![Page 35: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/35.jpg)
Discussion
Quality Indicator 2
CR Wait times
![Page 36: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/36.jpg)
CR Wait Times ComparisonsNSW1 Canada2 UK3
Years 2016 2011-13 2012-2015
No. of Sites 16 12 257
No. of Patients 983 4 546 32 899
Age (years) 65+12 66+11 65+11
Gender (male) 72% 71% 77%
Wait Times
Mean + SD (days) 21+19 68+64 -
Median 17 54 39
1 = Current Study 2017
2 = SL Grace et al Rehabilitation Research and Practice 2015
3 = Fell J, Dale V, Doherty P. Open Heart 2016
![Page 37: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/37.jpg)
CR Wait Times ComparisonsNSW1 Canada2 UK3
Years 2016 2011-13 2012-2015
No. of Sites 16 12 257
No. of Patients 983 4 546 32 899
Age (years) 65+12 66+11 65+11
Gender (male) 72% 71% 77%
Wait Times
Mean + SD (days) 21+19 68+64 -
Median 17 54 39
1 = Current Study 2017
2 = SL Grace et al Rehabilitation Research and Practice 2015
3 = Fell J, Dale V, Doherty P. Open Heart 2016
![Page 38: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/38.jpg)
Where to from now!
Feedback from sites informed changes to the MDS and
data dictionary.
2nd MDS survey attended in same time period in 2017
with > 50 sites across NSW, ACT and Tasmania included.
Awaiting results!
![Page 39: Snapshot of cardiac rehabilitation services in NSW ... · Background There is a paucity of data for CR services and associated outcomes across Australia, and in particular NSW. NSW](https://reader036.vdocument.in/reader036/viewer/2022070815/5f0efdbd7e708231d441f20c/html5/thumbnails/39.jpg)
Conclusion
This study provides contemporary data for CR clinicians to review
services, identify gaps and improve the quality of care in NSW.